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Jurnal Rumpun Ilmu Kesehatan
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 28279247     EISSN : 28279220     DOI : 10.55606
Core Subject : Health,
Health Professions Public Health
naskah publikasi dari hasil penelitian yang belum pernah dipublikasikan di tempat lain dalam bentuk cetakan maupun digital (e-journal). Jurnal Rumpun Ilmu Kesehatan mencakup artikel di bidang ilmu kesehatan
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 314 Documents
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Penerapan Tahap Define dalam Lean Six Sigma untuk Meningkatkan Mutu Pelayanan Rumah Sakit: Literature Review Siti Aisyah; Amanda Safitri; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 1 (2026): Maret : Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i1.6304

Abstract

Service quality is a crucial factor in a hospital’s success in facing competition while ensuring patient safety. However, issues such as high rates of medical errors and low service efficiency are still frequently encountered in various healthcare facilities. This study aims to examine the application of the Define phase in the Lean Six Sigma methodology as a systematic effort to improve hospital service quality. The method used is descriptive-analytical with a literature review approach through thematic analysis of eight selected scientific articles. The results of the study indicate that the Define phase is crucial for identifying dominant forms of waste, such as long waiting times, excessive administrative activities, and imbalances in the workload of healthcare personnel. Through instruments such as Voice of Customer (VoC), Critical to Quality (CTQ), and process mapping (SIPOC), hospitals can determine improvement priorities that align with patient expectations and healthcare worker needs. In conclusion, the proper implementation of the Define phase provides a strong foundation for the effectiveness of the DMAIC cycle, making quality improvement efforts more focused, efficient, and sustainable.
Strategi Manajemen dalam Meningkatkan Mutu Pelayanan Kesehatan di Rumah Sakit: Literature Review Siti Aisyah; Amanda Safitri; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6316

Abstract

The quality of healthcare services is an important indicator of the success of hospital services and patient satisfaction. Increasing competition in the healthcare sector encourages hospitals to implement appropriate management strategies to improve the quality of services provided. This study aims to examine various management strategies that can support the improvement of healthcare service quality in hospitals using a literature review method. Data were obtained from a search of scientific articles on Google Scholar and Garuda for the period 2017–2025. The selection process was carried out through the stages of identification, screening, and eligibility assessment until nine relevant articles were obtained. The results of the study show that service quality is influenced by the quality of human resources, facilities, implementation of SOPs, communication, and good strategic management. Quality improvement strategies such as the PMKP program, a culture of excellent service, inter-unit coordination, and continuous evaluation have been proven to enhance service quality, patient satisfaction, and loyalty. However, the implementation of these strategies still faces obstacles in the form of limited human resources, high workload, and suboptimal information systems. Therefore, continuous evaluation and strengthening of management aspects need to be carried out to improve the quality of healthcare services.
Penerapan Teknik Relaksasi Benson terhadap Penurunan Nyeri Pasien Post Operasi Fraktur Femur di RSUD Dr. Moewardi Aminatun Indah Kumalasari; Mulyaningsih Mulyaningsih; Suciana Ratrinaningsih
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 1 (2026): Maret : Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i1.6335

Abstract

Background: Pain following femur fracture surgery is frequently experienced by patients and may interfere with mobility as well as the ability to perform daily activities. One non-pharmacological approach that can be utilized to manage pain is the Benson relaxation technique, which combines breathing regulation and mental concentration to reduce pain perception. Objective: This study aimed to analyze the effect of Benson relaxation technique on pain reduction among post-operative femur fracture patients. Method: This study employed a descriptive case study approach involving two post-operative femur fracture patients on days one to three who reported moderate to severe pain levels. Benson relaxation intervention was administered for approximately 10–15 minutes, twice daily, over a three-day period. Pain intensity was assessed before and after each intervention session using the Numeric Rating Scale (NRS). Results: Findings indicated a reduction in pain intensity in both patients following the implementation of the intervention. Conclusion: The Benson relaxation technique may be considered an alternative non-pharmacological intervention to assist in reducing pain among post-operative femur fracture patients.
Evaluasi Pengelolaan Obat Kedaluwarsa dan Rusak di Instalasi Farmasi di Indonesia: A Systematic Review Yerita Adellia; Alya Indriani; Anisatia Saputri; Chaerunnisa AR; Sumarni Sumarni; Eka Putri Rahayu; Ratno Adrianto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6353

Abstract

The management of expired and damaged medicines is a critical component of pharmaceutical logistics because it directly influences service quality, patient safety, cost efficiency, and environmental sustainability. Despite its importance, issues related to expired and damaged medicines are still frequently encountered in healthcare facilities, caused by various weaknesses in planning, procurement, storage, distribution, and inventory control systems. This study aimed to identify the causal factors, management strategies, and handling procedures for expired and damaged medicines in pharmacy installations. A Systematic Literature Review (SLR) was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Literature was sourced from PubMed, ScienceDirect, and Google Scholar, covering publications from 2020 to 2026. A total of 12 articles met the inclusion criteria and were analyzed in this study. The results show that the main contributing factors include inaccurate forecasting of medicine needs, overstocking, procurement delays, improper storage conditions, ineffective distribution systems, inadequate inventory monitoring, and suboptimal implementation of FIFO (First In First Out) and FEFO (First Expired First Out) methods. In terms of management practices, handling expired and damaged medicines involves systematic procedures such as identification, segregation, labeling, documentation, return processes, and disposal in accordance with applicable regulations. In conclusion, effective management of expired and damaged medicines requires an integrated and structured approach across all stages of pharmaceutical logistics to improve service quality, enhance efficiency, and support environmental protection.
Literature Review: Peran Perumusan dan Pemilihan Strategi dalam Optimalisasi Kinerja Organisasi Kesehatan Rifa Neisya Azalia Putri; Alvamuna Khairani Sudarmadji; Raeesah Wahlullizar; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6357

Abstract

Organisasi kesehatan menghadapi dinamika lingkungan yang kompleks serta ketidakpastian yang menuntut penerapan manajemen strategis secara adaptif dan berkelanjutan. Perumusan dan pemilihan strategi menjadi peran penting dalam menentukan arah gerak organisasi untuk meningkatkan efektivitas pelayanan, efisiensi operasional, serta daya saing yang semakin tingi. Literature review ini bertujuan menganalisis peran perumusan dan pemilihan strategi dalam optimalisasi kinerja organisasi kesehatan berdasarkan berbagai penelitian periode 2021–2026. Metode penelitian menggunakan pendekatan literature review dengan database yang diperoleh dari PubMed, Garuda, dan Neliti. Hasil kajian menunjukkan bahwa strategi organisasi kesehatan yang efektif meliputi perencanaan SDM berbasis kompetensi, penerapan manajemen konflik kolaboratif, optimalisasi SOP dan manajemen mutu, pemanfaatan teknologi digital seperti Electronic Medical Record (EMR) dan telemedicine, serta penguatan kepemimpinan transformasional. Selain itu, strategi adaptif berbasis analisis posisi kompetitif dan pemanfaatan teknologi informasi terbukti mampu meningkatkan kualitas pelayanan, efisiensi organisasi, kepuasan pasien, dan keberlanjutan institusi kesehatan. Penelitian ini menunjukkan bahwa integrasi perumusan dan pemilihan strategi yang adaptif, inovatif, dan berbasis teknologi menjadi faktor penting dalam optimalisasi kinerja organisasi kesehatan serta mendukung daya saing institusi kesehatan di tengah perubahan sistem pelayanan kesehatan yang dinamis.
Literature Review : Penerapan Lean Six Sigma dalam Mengurangi Pemborosan dan Meningkatkan Efisiensi Sistem Logistik Kesehatan Raeesah Wahlullizar; Alvamuna Khairani Sudarmadji; Rifa Neisya Azalia Putri; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6364

Abstract

The healthcare logistics system plays a crucial role in supporting effective service delivery; however, various forms of operational waste still frequently occur in the field. This study aims to analyze the effectiveness of implementing the Lean Six Sigma method in reducing waste and enhancing logistics system efficiency within healthcare facilities through a literature review approach. Data sources were gathered from reputable scientific articles indexed in the PubMed, Garuda, and Neliti databases, with publication dates limited to 2021–2026. The review of ten selected articles indicates that the most dominant types of waste are defects, waiting, and inventory, particularly within critical units such as the pharmacy department. Implementing Lean Six Sigma through the DMAIC (Define, Measure, Analyze, Improve, Control) phases has proven effective in optimizing distribution flows, improving inventory management, cutting operational costs, and boosting patient satisfaction. In conclusion, Lean Six Sigma is a strategic and comprehensive approach to building an efficient and sustainable healthcare logistics system, although its success heavily relies on management commitment and thorough integration across service units.
Literature Review: Efektivitas Kepemimpinan Manajerial dalam Meningkatkan Kinerja Organisasi Kesehatan Raeesah Wahlullizar; Assyifa Ramadhani; Reynanda Sabrina; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6367

Abstract

Managerial leadership is crucial in enhancing the performance of healthcare organizations amidst complex services and dynamic governance. This literature review aims to examine scientific evidence regarding the effectiveness of leadership, identify implementation challenges, and formulate relevant strategies to improve service quality and healthcare worker productivity. The study utilizes a literature review method with data sources derived from Google Scholar, Garuda, and Neliti (spanning the years 2021–2026). The literature search was conducted using relevant keywords such as "managerial leadership" and "healthcare leadership" with the aid of Boolean operators. The findings indicate that transformational and democratic leadership styles are the most effective in boosting motivation, employee engagement, and organizational culture. Other supporting factors include managerial competence development, effective communication, and the utilization of information technology innovations. However, field implementation remains hindered by resistance to change, limited leadership competence, low digital literacy, and a lack of organizational support. Ultimately, the effectiveness of managerial leadership heavily depends on a leader's ability to foster a positive culture, develop human resources, and adapt to innovation. This study recommends the development of leadership strategies that are more adaptive and oriented toward the continuous improvement of healthcare service quality.
Environmental Health Risk Assessment of Industrial Activities and Their Impact on Public Health in Indonesia: A Systematic Literature Review Marlini Marlini; Elizabet Matolisi; Alimin Alimin
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6371

Abstract

Industrial development in Indonesia has contributed significantly to economic growth; however, it has also increased environmental pollution and public health risks. Industrial activities produce various pollutants that contaminate air, water, and soil, potentially causing adverse health effects among exposed populations. This study aimed to identify environmental health risks associated with industrial pollution and their impacts on public health in Indonesia. A systematic literature review was conducted following the PRISMA 2020 guidelines. Literature searches were performed in PubMed, Google Scholar, ScienceDirect, Scopus, and SpringerLink databases using relevant keywords. Original research articles published between 2014 and 2025 were screened based on predetermined inclusion and exclusion criteria, resulting in ten eligible studies included in the review. Data were synthesized narratively according to industrial sources, environmental exposures, study populations, and health outcomes. The findings identified four major environmental exposures, namely air pollution, dust exposure, heavy metal contamination, and industrial wastewater pollution. Respiratory disorders were the most frequently reported health outcomes, followed by cardiovascular diseases, neurological disorders, kidney impairment, and carcinogenic risks. Communities and workers living near industrial areas were identified as the most vulnerable populations due to prolonged environmental exposure. In conclusion, industrial pollution remains an important environmental health issue in Indonesia. Strengthening environmental monitoring systems, implementing stricter industrial emission control policies, and conducting routine environmental health risk assessments are necessary to reduce health risks and support sustainable industrial development.
Gambaran Kasus Hiv/Aids Berdasarkan Jenis Kelamin, Usia, dan Pekerjaan di Kota Kupang Tahun 2023-2025 Mariana V. P Metboki Putri; Masrida Sinaga; Serlie K.A Litik
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6383

Abstract

Kupang City has the highest accumulation of HIV/AIDS cases in East Nusa Tenggara. Maping demograpic characteristic is essential for targeted interventions. To describe HIV/AIDS cases by gender, age, occpation, and sub-distrit in Kupang City from 2023 to 2025. A descriptive quantitative retrosspective study using secondary data from the Kupang City AIDS Commission (KPA)reports for 2023-2025. Sampling used total sampling, analyzed univariately. Cases were consistently dominated by males (72,9% in 2023; 70,8% in 2024; 73,8% in 2025) and clustered in the productive age group of 25-49 years (54,3% in 2023; 60,6% in 2024; 60,4% in 2025). By occupation, the highest proportions were in the private sector (35%) and Housewives (17%). The high privat sector rate was driven by information bias due to patients’ non-disclosure during counseling. Geographically, cases were concentrated in Oebobo (21%), Kelapa Lima (20%), and Maulafa (19%) sub-districts. The epidemiology of HIV/AIDS In Kupang City is dominated by productive-aged males and has expanded to the general population (Housewives) in dense urban economic centers. KPA should strengthen edution in the private/campus sector and intensify screenings for pregnant women.
Hubungan Tingkat Kecemasan dengan Mekanisme Koping pada Penderita Diabetes Mellitus di Wilayah Kerja Puskesmas Guguk Panjang Kota Bukittinggi Tahun 2025 Rahma Yoli; Wisnatul Izzati; Engla Rati Pratama
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6396

Abstract

Diabetes mellitus is a chronic disease that requires patients to adapt to lifestyle changes, adhere to treatment, and manage the risk of complications, all of which may trigger anxiety. Uncontrolled anxiety can interfere with blood glucose management, reduce treatment adherence, and negatively affect patients' quality of life. To cope with anxiety, patients may adopt adaptive coping mechanisms, such as seeking social support and strengthening spiritual practices, or maladaptive strategies, including withdrawal and avoiding treatment. This study aimed to determine the relationship between anxiety levels and coping mechanisms among diabetes mellitus patients at Guguak Panjang Community Health Center, Bukittinggi City, in 2025. A quantitative cross-sectional design was employed. The sample consisted of 107 respondents selected from a population of 145 patients using proportional random sampling. Data were collected through questionnaires measuring anxiety levels and coping mechanisms and analyzed using Spearman’s Rank correlation test. The findings showed that most respondents experienced moderate anxiety (81%), while 55.1% applied adaptive coping mechanisms. Bivariate analysis revealed a significant relationship between anxiety levels and coping mechanisms (p < 0.001) with a correlation coefficient of r = -0.338, indicating a weak negative relationship. Higher anxiety levels were associated with a greater tendency to use maladaptive coping strategies. The study concludes that anxiety levels are significantly related to coping mechanisms among diabetes mellitus patients. Therefore, healthcare professionals should routinely assess anxiety and provide psychosocial support to encourage adaptive coping strategies and improve patients’ quality of life.

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